Individual provider · Type 1 NPI

Maryanne Deforest Phillips, MD

Specialist · Las Vegas, NV

NPI number 1780698456 Active

Practice location

5052 Jones Blvd, 135
Las Vegas, NV 89118

Fax (702) 822-1880

Mailing address

10620 Southern Highlands Pkwy, 110-250
Las Vegas, NV 89141-4369

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X7635 (NV)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1780698456

Maryanne Deforest Phillips, MD's National Provider Identifier is 1780698456, issued on Jul 28, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Las Vegas, NV. The record was last updated on Apr 13, 2012.